Jason Wayne Burke, LMFT NO.139625

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

125972 Issued in CA

Practice address

380 S Melrose Dr Ste 106
Vista, CA 92081-6656

Phone

(760) 688-2410

NPI assigned

Apr 7, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1689315079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 JEFFERSON ST # 6-110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081705",
            "telephone_number": "760-688-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 106",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816656",
            "telephone_number": "760-688-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 Jefferson St Ste 6-110",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920081705",
            "country_code": "US",
            "telephone_number": "760-688-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "credential": "LMFT NO.139625",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "125972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Buland, LCSW
• Samantha Bull, M.ED.
• Hillary Noel Bullard
• Alice Burgard
• Burke Infectious Diseases
• Robert S Burke, CMT
• Tina Burke, MA, LMFT
• Stuart Lowell Bursten, M.D.
• Heidi Byers Busch, M.D.
• Jenna Ann Bush, LMFT

• Mental Health Counselor in Vista, CA
• Providers in Vista, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.